Admin Coord Insurance

About the role

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Admin Coord Finance Insurance with Methodist Healthcare System. Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, it offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. The hospital is proud to be the largest provider of the lifesaving ECMO Program in San Antonio, home to the largest robotics program in the world, and its Adult Blood Cancer and Stem Cell Transplant unit was the first program to receive FACT Accreditation in North America. Methodist Hospital has been named the No. 1 Best Regional Hospital by U.S. News & World Report (2019‑20), earned consecutive Grade A Leapfrog Hospital Safety scores, holds Primary Stroke Center designation from The Joint Commission and Comprehensive Stroke Center Certification from DNV GL Healthcare. Last year, HCA Healthcare and its colleagues donated $13.8 million to charitable organizations.

Responsibilities

• Maintain demographic and insurance information on all patients.
• Verify insurance benefits.
• Obtain PCP referrals.
• Obtain timely authorization for all outpatient and inpatient transplant services.
• Serve as the financial liaison between transplant clinic staff, physicians, and patients/families.
• Work independently or with the Financial Counselor to ensure prospective transplant candidates are fully aware of transplant benefits.
• Accurately track verification tasks, PCP referrals, and authorizations for incoming medical management, organ failure, and/or transplant patients.
• Update required systems with authorization, PCP referrals, eligibility information, and denials.
• Consistently meet deadlines and turnaround times to ensure verifications, authorizations, and PCP referrals are managed correctly and timely to support clinic operations.
• Submit clinical information to insurance providers and case managers to obtain authorization.
• Work collaboratively with outside providers when necessary to obtain clinical information to support transplant authorization.
• Collaborate with social worker, case manager, and/or financial counselor to ensure patients/families understand medical and/or transplant benefits and assistance programs.
• Work collaboratively with the onsite eligibility vendor to screen in-house or referred patients.
• Accurately and timely obtain insurance authorization and referrals for all services/visits ordered by the clinic provider.
• Receive training on transplant authorizations, financial counseling, selection meetings, and peer-to-peer reviews for cross coverage on duties not equally shared.

Qualifications

• Education: High School or G.E.D.
• Experience: Minimum two years experience in the field of insurance authorization and clearance for medical services.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay (includes prescription drug and behavioral health coverage, free telemedicine services, free AirMed medical transportation).